Using the Practice Management assigned ID and storing that ID as the Health
Record Number (HRN) in VistA is EXACTLY the right thing to do!  Some of the
patches to VOE (soon to come out as Class I patches to VistA FOIA) are based
on how Indian Health Service uses the HRN.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of J.
Michael Towry
Sent: Tuesday, January 24, 2006 1:40 PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] What is the best (automated) way to update
existing patient records?

Granted that having a patient ID that will be unique throughout all time and
space is not an insignificant problem. However, what I'm trying to deal with
here is a much smaller subset of that universal domain. That is, a small
office with a practice management system already assigns patient IDs that
are unique within their particular instance of the system. Ideally, they
could just store that ID away in some available field of the Vista patient
record when adding it (via import of a CSV-file generated by the practice
management system) and use that as a unique identifier when synching patient
data from the practice management system to Vista.


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